tci Part B Insider - 2004 Issue 11

Gastroenterology: Intubation And Sample Collection Bundled With Slew Of Endoscopy Codes

Don't try to bill separately for esophageal dilation If your physician routinely performs endoscopies that include extra work to dilate the esophagus or collect specimens, then you may have just lost the ability to bill for that extra work.   New edits target gastroenterology testing codes 91000 (Esophageal intubation and collection of washings for cytology, including preparation of specimens (separate procedure)), 91055 (Gastric intubation, washings, and preparing slides for cytology (separate procedure)) and 91105 (gastric intubation, and aspiration or lavage for treatment). The most heavily affected code is 91000, which will become a component of 36 endoscopy codes, every...

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